SLAP Tears in the Throwing Shoulder: A Review of the Current Concepts in Management and Outcomes

Frangiamore, Salvatore J.; Maier, Jacob; Schickendantz, Mark S.

doi:10.1016/j.otsm.2021.150798

Cited by 2 publications

(2 citation statements)

References 51 publications

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“…Depending on the extent and severity of the injury, treatment of labral tears can be either conservative, such as physical therapy, or surgery (Frangiamore et al, 2021). The goal of labral tear management is to alleviate pain, restore range of movement and facilitate a return to normal activities (Frangiamore et al, 2021). Labral repair, tenotomy and tenodesis are the treatment options for SLAP tears (Ren et al, 2019; Sullivan et al, 2019).…”

Section: Labral Injury and Managementmentioning

confidence: 99%

“…Both of these procedures have shown good improvements in terms of pain relief and patient satisfaction (Boileau et al, 2009; Ren et al, 2019). However, these treatment options are generally preferred for older and less active patients or for a failed labral repair (Frangiamore et al, 2021). This is attributed to the decreased vascularity in the superior aspect of the glenoid bone in older patients, as well as the biomechanical force of the long head biceps’ tendon over the labrum.…”

Section: Labral Injury and Managementmentioning

confidence: 99%

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Anatomical, functional and biomechanical review of the glenoid labrum

et al. 2021

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The glenohumeral joint is the most mobile joint in the human skeleton, supported by both active and passive stabilisers. As one of the passive stabilisers, the glenoid labrum has increasingly been recognised to play an important role in stability of the glenohumeral joint, acting to maintain intraarticular pressure, centralise the humeral head and contribute to concavity‐compression stability. Several studies have investigated the macro‐ and micro‐anatomical features of the labrum as well as its biomechanical function. However, in order to better understand the role of the labrum and its mechanics, a comprehensive anatomical, functional and biomechanical review of these studies is needed. Therefore, this article reviews the current literature detailing anatomical descriptions of the glenoid labrum, with an emphasis on its function(s) and biomechanics, as well as its interaction with neighbouring structures. The intimate relationship between the labrum and the surrounding structures was found to be important in glenohumeral stability, which owes further investigation into the microanatomy of labrum to better understand this relationship.

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Section: Labral Injury and Managementmentioning

confidence: 99%

Section: Labral Injury and Managementmentioning

confidence: 99%

Anatomical, functional and biomechanical review of the glenoid labrum

et al. 2021

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Concomitant Arthroscopic Superior Labral and Rotator Cuff Repair

Rowe,

Hurley,

Bethell

et al. 2024

JBJS Reviews

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Background: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence. Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses compliant search of PubMed, Embase, and Cochrane Library databases was performed for clinical studies of patients undergoing combined repairs of the rotator cuff and superior labrum. Results: Ten studies comprising 241 shoulders were included, with a mean age of 52.6 years and mean follow-up of 29.0 months; 67.9% were male patients. Functional outcomes included the mean postoperative American Shoulder and Elbow Surgeons Standardized Shoulder Score of 88.6, University of California at Los Angeles Shoulder Score of 30.6, constant score of 90.4, Simple Shoulder Test score of 8.6, and visual analog scale score of 1.1. Range of motion outcomes demonstrated mean postoperative forward flexion of 159°, external rotation of 68°, and internal rotation of 17°. The overall return-to-play rate was 76.8%, with 67.9% returning to preinjury level. The overall complication rate was 4.1% with an 18.9% rate of rotator cuff retear and 2.4% reoperation rate. Conclusion: Arthroscopic concomitant repair of superior labral and rotator cuff tears results in good functional outcomes and range of motion, along with a low reoperation rate. Among athletes, there are moderate rates of return but lower rates of return to the same level of play. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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SLAP Tears in the Throwing Shoulder: A Review of the Current Concepts in Management and Outcomes

Cited by 2 publications

References 51 publications

Anatomical, functional and biomechanical review of the glenoid labrum

Anatomical, functional and biomechanical review of the glenoid labrum

Concomitant Arthroscopic Superior Labral and Rotator Cuff Repair

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